Title II of the Social Security Act
provides retirement, survivors, and disability benefits to members
of the public who meet the required eligibility criteria and file
the appropriate application. This collection comprises the various
application methods for the retirement, survivors, and disability
benefits. These methods include the following modalities: paper
forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System
(MCS) screens for in-person interview applications, as well as the
Internet-based iClaim and iAppointment applications allowing the
public to apply electronically. SSA uses the information collected
using these modalities to determine: (1) the applicants'
eligibility for the above-mentioned Social Security benefits, and
(2) the amount of the benefits. The respondents are applicants for
retirement, survivors, and disability benefits under Title II of
the Act, their representatives, and in some instances, applicants
for SSI payments or their representatives who are requesting to
file for SSI through iClaim.
US Code:
42
USC 426 Name of Law: Social Security Act
US Code: 42
USC 1395j Name of Law: Social Security Act
US Code: 42
USC 1395o Name of Law: Social Security Act
US Code: 42
USC 402 Name of Law: Social Security Act
US Code: 42
USC 423 Name of Law: Social Security Act
The increase in burden hours
stems from an increased number of respondents for all collection
methods. The figure reported in 2013 was an estimate. In this ICR,
we were able to obtain the actual number of respondents for FY 2015
and adjusted our figure accordingly. Because we are adding the SSI
application to a pre-existing first or third party Social Security
disability iClaim, and the number of questions for a concurrent
application in iClaim remains the same we do not anticipate any
changes to the iClaim burden information. We will also capture any
changes to the SSA-8001 burden information under OMB No.
0960-0444.
$61,490,378
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783
faye.lipsky@ssa.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form SSA-1 Medicare-only Paper Form SSA-1
Addendum - 0618.docx
1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants